相关实验视频
Updated: Jul 8, 2025

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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
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咳引起的突发急性胸痛和心脏起器植入后不久的大规模左侧血胸
Nicolò Martini1, Federico Migliore1, Raimondo Pittorru1
1Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.
概括
发生了一种罕见的起器并发症:植入后,心室穿透了右心室和左内乳腺动脉. 迅速的干预包括的提取和重新植入,确保良好的恢复.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 植入心脏起器是一种常见的手术.
- 室内导管在顶腔室间隔膜处的积极固定是一种标准的技术.
研究的目的:
- 报告心脏起器固定的一个独特而罕见的并发症.
- 强调在心脏起器植入后出现新症状的患者考虑穿孔的重要性.
主要方法:
- 一个74岁的男性患者的病例报告.
- 采用了心脏起器问询,对比度增强的胸部CT和穿皮血管造影.
- 干预措施包括穿皮栓塞,胸腔移植,提取和重新植入.
主要成果:
- 室内起器穿透了右室顶部和左室内乳腺动脉.
- 增加了双极性节奏值被注意到.
- 通过穿皮栓塞,取/再植入和支持性护理成功管理.
结论:
- 腹腔导管在顶点腹腔间隔膜的活性固定可能导致罕见的并发症,如连续的心脏和动脉穿孔.
- 临床医生应保持高的怀疑指数对右心室穿孔在心脏起器植入后呈现心肺症状的患者,即使没有心脏坦普.
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